Pharmacy Switching Services

Closed Special Notice Posted

Solicitation number
1523721
Agency
Responses due
Set-aside
8(a) Sole Source

Opportunity facts

NAICS code
513210 Software Publishers
Place of performance
Cass Lake, Minnesota 56633, United States

Notice details come from SAM.gov. Updated .

About this opportunity

The Indian Health Service (IHS), a division of the Department of Health and Human Services, issued a Special Notice on February 12, 2026, announcing its intent to award a sole source contract to Change Healthcare/Optum for pharmacy switching services at Cass Lake Indian Hospital in Cass Lake, Minnesota. This Notice of Intent to Issue Sole Source Award is being issued under the authority of FAR 6.302-1, which permits procurement from a single source when the government determines that only one responsible vendor can satisfy its requirements. The contract will be structured as a firm fixed-price agreement with a base year plus three optional one-year periods. The IHS determined that Change Healthcare/Optum is the only reasonably available source due to proprietary data requirements, licensing restrictions, and the vendor's unique ability to interface with the Cass Lake Service Unit RPMS DOS system.

The primary objective of this procurement is to secure pharmacy claims switching services that enable the I/T/U facility to electronically submit pharmaceutical claims to third-party drug plans for reimbursement. Interested parties have until February 21, 2026, to submit notifications of interest, though this is not a competitive solicitation and the notice is not a request for competitive quotes. The contract covers specialized switching services including Connect (switch functionality), pre- and post-edit capabilities, Card Finder, Web Services Surescripts, and Web Services Medicare Eligibility—all of which must remain compatible with the existing RPMS pharmacy system. Eligibility is limited to 8(a) certified small business concerns under the HHS Small Business set-aside program. The IHS emphasized that pharmacy services generate over 50 percent of the facility's revenue, making continued service continuity critical to operations.

Notice text

NOTICE OF INTENT TO ISSUE SOLE SOURCE AWARD

The U.S. Department of Health and Human Services (HHS), Indian Health Service (IHS), Bemidji Area intends to award a Firm Fixed Priced Contract on a sole source basis to Change Healthcare/Optum for Cass Lake Indian Hospital, Cass Lake, MN. The anticipated period of performance will be a Base Year plus Three One Year Options.

This Intent to Sole Source is in accordance with FAR Part 12 Acquisition of Commercial Items and FAR Subpart 13. 5 Simplified Procedures for Certain Commercial Items.  Under the authority of FAR 6.302-1, only one responsible source and no other will satisfy agency requirements, the Government intends to award a Firm-Fixed price Sole Source contract to Change Healthcare/Optum as only one source reasonably available due to proprietary data, licensing rights, and the ability to interface with the CLSU RPMS DOS system. Switching services are required when a I/T/U (Indian Health Service/Tribal/Urban) facility submits pharmaceutical claims electronically to third-party Drug Plans for reimbursement.  Change Healthcare provides such "Switching Services".  Switching Service include Connect (switch), Edits (Pre and post), Card Finder, Web Services Sure-scripts, Web Services Medicare Eligibility.

Service must be able to submit pharmaceutical claims electronically from the RPMS computer system to third party Drug Plans for reimbursement.  This service is specific to the systems in place at the CL pharmacy. There are no other vendors with the capability to provide desired service that works with IHS RPMS system. Optum/Change Healthcare meets the needs of service while being compatible with in-house systems and RPMS.

The North American Industry Classification System (NAICS) code is 513210 Software Publishers.

Points of contact for this acquisition are the Contract Specialist, Mary Simon at mary.simon2@ihs.gov. This notice of intent is not a request for competitive quotes.

Interested persons may identify their interest and capability to respond to the requirement or submit a quote to Contract Specialist, Mary Simon at mary.simon2@ihs.gov. Information received in response to this notice will be considered solely for the purpose of determining whether to conduct a competitive procurement.

Any response to this notice must show clear and convincing evidence that competition would be advantageous to the Government. In doing so, interested sources must submit technical capabilities, and other information that demonstrates their ability to meet the Government's needs.

Files

File Type Posted
JOFOC_Change Healthcare - Signed.pdf PDF

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